BILLY L RENICK

BALTIMORE, MD
NPI1245290139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0001030)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
-- BILLY L RENICK PA
900 CANTON AVENUE
BALTIMORE, MD 21229
Phone number: 410-368-2414
Mailing Address
-- BILLY L RENICK PA
PO BOX 21182
BALTIMORE, MD 21228
Phone number: 410-368-8640
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